change of address form - bt pension scheme€¦ · change of address form you can update your...
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Change of Address Form You can update your address and any other details by logging into www.btpensionsportal.com.
Alternatively, please complete the form, print it, sign it and either
- Scan it and email the scan to [email protected] - Post it to BT Pension Scheme, Sunderland, SR43 4AD
Title:
(please tick one)
Mr Mrs Miss Ms
Other [please state] …………………………………………………..
First Names:
Maiden/Former Name(s):
Family/Surname Name[s]:
Previous Address:
Postcode:
Current Address:
Postcode:
Telephone number:
Home:
Mobile:
Work:
Email Address:
Date of Birth:
(DD/MM/YYYY)
……………../……………../…………
Sex: Male Female
National Insurance Number:
Pension Reference Number:
Declaration (mandatory)
The information, which I have supplied in this form, is correct, and I am the person to whom it relates.
Signed: …………………………………………………………………………………………
Name [block capitals] ……………………………………………………………………………
Date: …………………………………………….
Your signature must match the one held on our records. Applications will be rejected where signatures do not
match.